全内脏反位情况下的肝移植：减体积供肝的应用

Liver transplantation in the presence of situs inversus totalis: application of reduced-size graft.

作者信息

Kawamoto S, Strong R W, Lynch S V, Ong T H, Pillay S P, Yamanaka J, Balderson G A

机构信息

Queensland Liver Transplant Service, Princess Alexandra Hospital, Woolloongabba, Australia.

出版信息

Liver Transpl Surg. 1995 Jan;1(1):23-5. doi: 10.1002/lt.500010106.

DOI:10.1002/lt.500010106

PMID:9346537

Abstract

Because of the anatomical features associated with situs inversus, technical difficulties will be encountered during orthotopic liver transplantation. This report describes the case of a patient with situs inversus totalis and end-stage liver disease from biliary atresia who was treated by segmental orthotopic liver transplantation. The segmental graft was safely placed in the left subphrenic space, and a suitable orientation was obtained for anastomoses of the hilar vessels. Chronic rejection necessitated retransplantation, by the same method, 19 months later. This technique has potential advantages in coping with anatomical obstacles encountered in patients with situs inversus.

摘要

由于与内脏反位相关的解剖学特征，原位肝移植过程中会遇到技术难题。本报告描述了一例全内脏反位且因胆道闭锁导致终末期肝病的患者，接受节段性原位肝移植治疗的病例。节段性移植物被安全地放置在左膈下间隙，并为肝门血管吻合获得了合适的方向。19个月后，慢性排斥反应使得必须通过相同方法进行再次移植。该技术在应对内脏反位患者遇到的解剖学障碍方面具有潜在优势。